[ effect of lavender in care of postpartum episiotomy wounds]

Episiotomy is a perineal incision which is the commonest surgical incision in midwifery field. This wound like others need to be cared. Nowadays, using alternative and complementary methods like essential oils which are named aromatherapy have been established as a deserving stance. Essential oils such as lavender compounded of many substances like terponents, mono terponents and linalool which are antimicrobial and pain killer. It seems this substance is very suitable for washing of wounds .So, this research carried out compare the essential oils of lavender in comparison to povidon iodine in repairing of episiotomy. This studying is randomized control trial which is carried out in 120 women. allocated in Povidon Iodine and lavender essential oil groups. At first lavender essential oil 1.5% [Stoeches acae] was prepared by Barij Essence Pharmaceutical Company in distillation method with Olive oil carrier. After child bearing to the educated women about episiotomy care, was proposed to wash wound in sitzbath by Povidon Iodine in one group and with lavender essential oil in another group. After 5th day incision was assessed. The data were analyzed by SPSS soft ware, t-test and X[2]. Data showed that the redness in 5th day reduced significantly [P<0.05]. But, rate of edema increased significantly in lavender group [P<0.001]. There is not difference between two groups for infection, pain, dehiscence. It seems that lavender essential oil is an appropriate alternative instead of Povidon Iodine, because it reduced redness and it doesn't increase infection and dehiscence

[ comparative study on opium withdrawal of buprenorphine and clonidine]

Opium abuse and addiction is a worldwide problem and application of a method, both cost effective and with less side effect, to shorten the opioid detoxification period is on increasing demand. To compare the efficacy of Buprenorphine and Clonidine in treatment of opium withdrawal. This study was a randomized, double blind, parallel group, clinical trial performed on out-patients referred to either psychiatric ward at Amirkabir hospital or private clinics in 2005. The patients, initially divided into two groups of 38 members, were assessed for both the efficacy and side effects. Statistical analysis was performed using descriptive statistical tests, K[2] test, and also the correlation severity by relative risk analysis [R.R]. Thirty six [94.8%] subjects in Buprenorphine group and 32 [84.3%] in clonidine group completed the detoxification program, successfully. Relapses were observed in 2 and 6 cases of Buprenorphine and Clonidine groups, respectively. The difference was statistically insignificant [p= 0.13]. The side effects including hypotension, headache, sedation, dizziness, dry mouth, nausea, and constipation during the 10-day detoxification periods in Clonidine group was more severe and intolerable than in Buprenorphine group. Conversely, the sweating, as another side effect, was found to be more pronounced in Buprenorphine group than in Clonidine group. Buprenorphine and Clonidine showed similar effects in managing opium withdrawal, yet the withdrawal symptoms of opium was found to be more tolerable with Buprenorphine than Clonidine. Also, less side effects were observed with Buprenorphine